Purpose
To examine the relationship between nurse-perceived patient safety culture and patient safety grade in healthcare organizations. Methods: A cross-sectional, correlational study design was used. An online survey was conducted with nurses in three tertiary hospitals in Korea who provided direct care to patients. Data were analyzed using Pearson correlation coefficients and ordinal logistic regression. Results: A total of 526 nurses completed the questionnaire. Among patient safety culture dimensions, staffing and work pace, reporting patient safety events, hospital management support for patient safety, handoffs and information exchange, organizational learningcontinuous improvement, and unit manager support for patient safety were significant predictors for patient safety grade. Conclusion: Efforts should be made to create and enhance patient safety culture in healthcare organizations. This study showed that staffing and work pace were the strongest predictors of patient safety grade, indicating that adequate nurse staffing is important to handle workloads and improve patient safety. Our study also demonstrated the importance of hospital management and unit manager support for patient safety. Therefore, we suggest developing a leadership program for hospital administrators and unit managers, to help them develop the necessary leadership skills for creating a culture of safety in healthcare organizations.

Citations

• Development and Evaluation of a Multifaceted Intervention Program for Preventing Medication Administration Errors by Nurses
  Won Hee Sim
  Journal of Patient Safety.2025; 21(4): 226.     CrossRef
• The influencing factors of pediatric nurses’ perception of patient safety culture and partnership with patients’ parents on patient safety nursing activities in South Korea: a descriptive study
  Seo Jin Lee, Young Ran Han
  Child Health Nursing Research.2024; 30(4): 255.     CrossRef
• Effect of Leader-Member Exchange on Patient Safety Culture in Perioperative Nurses: The Mediating Role of Organizational Silence
  Nayeop Lee, Yoonju Lee
  Journal of Korean Academy of Nursing Administration.2024; 30(5): 462.     CrossRef
• A Survey on the Perception of Psychiatric Hospital Nurses on Patient Safety
  Sunah Kim, Wongyeong Lee, Chaehyeon Kang
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(4): 448.     CrossRef

Purpose
To describe clinical nurses’ experience and grievance in an online community using a co-occurrence network and topic modeling. Methods: We analyzed posts from Nurscape, which is the largest online community for nurses in Korea. After extracting posts using web scrapping, text preprocessing was done to detect nouns. In a visualization phase, co-occurrence network analysis and latent dirichlet allocation-based topic modeling were applied. Results: A total of 13,200 posts were analyzed. The co-occurrence network’s core keywords were newly graduate nurse, general ward, career, turnover, and grievance. The topic modeling showed four topics: (1) ‘Clinical practice-related difficulties’ described clinical hardships, such as the heavy workload of nurses; (2) ‘Concerns about resignation’ incorporated keywords asking for advice on resignation; (3) ‘Searching for information on employment/reemployment’ focused on the working conditions or working climate of a specific hospital; and (4) ‘Organizational action call’ captured the voices urging organized actions to improve nurses’ work environment. Conclusion: Clinical nurses share experiences through the online community and seek advice or information and urge organizational action. Professional nursing organizations should identify and deal with problems that nurses are currently facing. The results of this study can contribute to establishing the policy direction of nursing organizations.

Citations

• National Petition Analysis Related to Nursing: Text Network Analysis and Topic Modeling
  HyunJung Ko, Seok Hee Jeong, Eun Jee Lee, Hee Sun Kim
  Journal of Korean Academy of Nursing.2023; 53(6): 635.     CrossRef
• Perspectives of Frontline Nurses Working in South Korea during the COVID-19 Pandemic: A Combined Method of Text Network Analysis and Summative Content Analysis
  SangA Lee, Tae Wha Lee, Seung Eun Lee
  Journal of Korean Academy of Nursing.2023; 53(6): 584.     CrossRef
• An Exploratory Study on Current Nursing Issues in the COVID-19 era through Newspaper Articles: The Application of Text Network Analysis
  Young Joo Lee
  Journal of Korean Academy of Nursing Administration.2022; 28(3): 307.     CrossRef
• Analysis of Online Community Data on Industrial Engineering
  Juhee Han, Jinyi Yu, Younghoon Lee
  Journal of the Korean Institute of Industrial Engineers.2022; 48(3): 280.     CrossRef

PURPOSE
This study was done to analyze the trend of theory application in articles published in the Journal of Korean Academy of Nursing Administration (JKANA) over the last 10 years.
METHODS
Four hundred and eighty-five articles were reviewed to determine the scope of theory-applied research. General characteristics, study design and keywords classification by nursing meta-paradigm were analyzed using established analysis framework.
RESULTS
Twenty-four articles (4.9%) were identified as theory-applied research publications. More than half of the articles (54.2%) stated that a theoretical framework was used; the number of theories used in the 24 articles was 27 including nine nursing theories. The majority of the studies were conducted in hospital settings. In the keyword classification by nursing meta-paradigm, 28 environment-related keywords were identified but only 7 keywords were related to health.
CONCLUSION
The results show that theory application in Korean nursing administration research is very limited. It is necessary to create a positive educational environment for graduate students to learn about nursing theories as well as theories from other disciplines. In addition, different levels of nursing theories should be continuously developed in the field of nursing administration.

Citations

• The Application of Theories in Research on Advance Care Planning (2010~2022): A Scoping Review
  Jeongwon Shin, Sujin Lim, Hwain Kim, Kyunghee Lee, Heejung Jeon
  Korean Journal of Adult Nursing.2024; 36(1): 1.     CrossRef
• Essential Role of Theory in Nursing Research for Advancement of Nursing Science
  Soyoung Yu, Ju-Eun Song
  Journal of Korean Academy of Nursing.2021; 51(4): 391.     CrossRef
• Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
  Bom-Mi Park
  Healthcare.2021; 9(6): 699.     CrossRef
• Trend Analysis of Theory-based Research Published in Asian Oncology Nursing
  Hye-young Lee, Min-Kyeong Kim, Won-jin Seo, Min-jin Lee, Ye-rin Heo, Sanghee Kim
  Asian Oncology Nursing.2019; 19(1): 1.     CrossRef